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NCLEX Bootcamp 2025 Practice Questions
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Question Number 5
The nurse is caring for a newborn who is 3 hours old and has bluish mucous membranes, a respiratory rate of 70 breaths per min, an axillary temperature of 97.7 F (36.5 C), and mild intercostal retractions. The newborn is continuously grunting and has a weak cry. Which of the following actions should the nurse take?
Place the newborn skin to skin
Apply oxygen via nasal cannula
Document the findings as acrocyanosis
Initiate continuous positive airway pressure
✔ Correct Answer:
Initiate continuous positive airway pressure
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